Palliative Care in Amyotrophic Lateral Sclerosis (motor Neurone Disease)

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David Oliver, Gian Domenico Borasio, Declan Walsh
Oxford University Press, 2000 - Medical - 202 pages
Although new treatments for amyotrophic lateral sclerosis/motor neurone disease are being developed, these at present offer only the potential to slow the disease process. Therefore a palliative care approach to the care of the patient and their family is at the center of good clinical practice in ALS/MND. This book aims to provide and evidence based guide to the care of people with ALS/MND, including the control of symptoms, the psychosocial care of patients and their families and care in bereavement. The palliative care approach to the care of ALS/MND is outlined and the role of the multidisciplinary team emphasized. The international authorship are from many different disciplines and are all closely involved in the care of ALS patients; giving a depth of practical knowledge and experience and allowing a comparison of the differences across cultures, social circumstances, health care systmes and nations. All contributors are clinicians involved in the care of people with ALS/MND and they are able to provide clear guidelines of the care throughout the disease process, from telling of the diagnosis to death. The experience of patients and families are considered and case studies are provided to show the practical applications of the theoretical knowledge. An evidence based approach, grounded in day to day care of patients, is used. Different models of care are explored and the interaction of palliative care with other treatment regimes is addressed, as the experience from the treatment of cancer has shown that there may easily be areas of conflict and confusion if there is a lack of clarity in the care provided for patients. The book aims to provide a reference for all involved in the care of patients with ALS/MND, including neurologists, general physicians, rehabilitationists, paramedical staff, general/family practitioners and specialist palliative care teams. The care of a patient with ALS/MND, and their family, is often a challenge, but one all should take up so that patients can live life as fully as possible.

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Palliative care
Breaking the news
The control of symptoms

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About the author (2000)

David Oliver is a Consultant Physician in Palliative Medicine and Honorary Senior Lecturer in Palliative Care at the Kent Institute of Medical and Health Sciences, University of Kent and at the Wisdom Hospice, Rochester, UK Gian Domenico Borasio is Leader of the Motor Neurone Disease ResearchGroup in the Department of Neurology at the University of Munich, Germany. Declan Walsh is Professor and Director of the Palliative Care Program at The Cleveland Clinic, Cleveland, Ohio, USA.

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